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DISCUSSION Both dusting by painting and fragmentation with retrieval for ureteroscopic laser lithotripsy work well. Although dusting seems to be connected with smaller operative times and a diminished risk of ureteral upheaval, this approach has actually a potential danger of recurrent rock development from dirt failing to pass. On the other hand, fragmentation with removal might provide for an even more immediate postoperative stone-free result. Changing the pulse power, regularity, w